Domaine du Haut Baran Reservation Form

For reservation information please call William or Rosalie Haas (513)533-0511 in states or call 011 33 565 246324 in France.Mail reservation form and deposit to : Domaine du Haut Baran  P.O. Box

337  North Bend , Ohio 45052. Email : hautbaran   aol.com . Web address is www.hautbaran.com .

Trip request __________________Departure date____________Trip  cost_____________

Name                                                               M F	Name                                                               M F
Address	Address
City                                      State       Zip	City                                         State       Zip
Country                     Phone	Country                       Phone
Passport No.	Passport No.
Email	Email
Emergency contact	Emergency contact
Emergency contact	Emergency contact

Accommodations : If you are a couple , would you prefer a room with  ¤ 2 beds  ¤ 1 large bed

All single guests will share a room with twin beds.If you want your own room the single supplement is 1000 US

Deposits : $ 500.00 USD per person  x  number of participants  =  _______________________ total  deposit.

Deposits can be paid by personal check or money order , payable to Domaine du Haut Baran and mailed to :

P.O.  Box  337 North Bend , Ohio 45052.

All Deposits are non-refundable.

Balance : The balance of your trip is due 90 days prior to departure and may be paid by check or money order in dollars USD.If the final payment is not received when due,we reserve the right to cancel the reservation per our cancellation policy.Prices are in USD. Prices cover land costs only , not airfare. Price per person is based on 10 or more participants.

Cancellation/Refund : Cancellation fees are determined accordingly : 91 days prior to trip, 500.00 USD :

61-90 days prior to trip, 50% trip price : 31-60 days prior to trip, 75% trip price : 0-30 days prior to trip, no refund. Exceptions cannot be made for any reason and there is no refund for arriving late or leaving a trip early. If we must cancel a trip, all payments received to date will be refunded and this constitutes full settlement.We are not responsible for expenses incurred in preparation for any trips ( even cancelled trips ) , such as airline tickets, travel delays,flight cancellations or health problems.This tour will be held regardless of world events.

         Travel insurance is highly recommended , and should be arranged by you.

Responsibility Clause : Domaine du Haut Baran (DDHB),employees,affiliates,successors,or assigns is not liable for any negligent or willful act or failure to act,of any person,third party or entity which is to,or provides goods or services including but not limited to:transportation companies,equipment suppliers,food service providers ect,, I acknowledge that I am voluntarily participating in this trip with the knowledge of the inherent risks and dangers invovled,including but not limited to:negligence on the part of DDHB,its employees,physical exertion,forces of nature,transportation failures,consumption of alcohol,risks with food or impure water,civil unrest,terrorism,criminal activity,wild or other animals,failure of equipment,accident or illness without means of evac,or availability of medical supplies or services or adequacy of medical attent once provided,and lost/stolen/or misplaced luggage or property.I hereby agree to be responsible for my own welfare and accept any and all risks of delay,unanticipated events,inconvenience,illness,injury,emotional trauma or death.I hereby release and discharge forever DDHB,and employees, from and against any and all liability arising from my participation in this trip.I agree that this release is legally binding upon me,all members of my family and all minors traveling with me,my and their hiers,successors,assigns,and legal representatives, it being my intention to release DDHB and employees,successors,affiliates,and assigns from any and all liability to the maximum extent by law.I acknowledge that to participate,I will require a legal passport,and that DDHB reserves the right to remove me or any participant it judges incapable of meeting the rigors of activities or who detracts from the enjoyment of the trip by others.I will follow all safety rules presented to me either written or oral by Domaine du Haut Baran(DDHB).

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